|
Esophagoscopy flex remove fb
|
$305.70 |
$305.70 |
$305.70 |
$2,109.53
|
|
Esophagoscopy lesion ablate
|
$439.56 |
$439.56 |
$439.56 |
$4,211.08
|
|
Esophagus endoscopy/ligation
|
$444.89 |
$444.89 |
$444.89 |
$2,293.85
|
|
Esoph egd dilation <30 mm
|
$344.33 |
$344.33 |
$344.33 |
$2,656.80
|
|
Esoph endoscopy dilation
|
$279.06 |
$279.06 |
$279.06 |
$2,221.83
|
|
Esoph scope w/sclerosis inj
|
$432.90 |
$432.90 |
$432.90 |
$2,234.01
|
|
Established Patient Office Visit (level 1)
|
$51.95 |
$51.95 |
$51.95 |
$121.00
|
|
Established Patient Office Visit (level 2)
|
$68.60 |
$68.60 |
$68.60 |
$138.60
|
|
Established Patient Office Visit (level 3)
|
$138.53 |
$138.53 |
$138.53 |
$187.00
|
|
Established Patient Office Visit (level 4)
|
$212.46 |
$212.46 |
$212.46 |
$233.60
|
|
Established Patient Office Visit (level 5)
|
$317.69 |
$317.69 |
$317.69 |
$287.10
|
|
Estradiol total
|
$46.53 |
$46.53 |
$46.53 |
$153.00
|
|
Ethylene glycol -sendout
|
$21.13 |
$21.13 |
$21.13 |
$75.00
|
|
Etonogestrel implant system
|
$3,963.83 |
$3,963.83 |
$3,963.83 |
$3,016.77
|
|
Euflexxa inj per dose
|
$1,176.89 |
$1,176.89 |
$1,176.89 |
$727.80
|
|
Evaluation psychiatric diagnostic
|
$230.44 |
$230.44 |
$230.44 |
$320.00
|
|
Event monitor
|
$15.32 |
$15.32 |
$15.32 |
$242.12
|
|
Ex arm/elbow tum deep < 5 cm
|
$981.69 |
$981.69 |
$981.69 |
$3,386.84
|
|
Ex arm/elbow tum deep 5 cm/>
|
$1,160.18 |
$1,160.18 |
$1,160.18 |
$3,412.80
|
|
Exc abd les sc 3 cm/>
|
$1,673.00 |
$1,673.00 |
$1,673.00 |
$3,386.84
|
|
Exc abdl tum deep < 5 cm
|
$1,014.99 |
$1,014.99 |
$1,014.99 |
$3,386.84
|
|
Exc arm/elbo les sc >=3cm 24071
|
$709.96 |
$709.96 |
$709.96 |
$3,386.84
|
|
Exc arm/elbo les sc <3cm 24075
|
$594.08 |
$594.08 |
$594.08 |
$1,917.33
|
|
Exc back les sbq <3 cm 21930
|
$636.03 |
$636.03 |
$636.03 |
$2,271.01
|
|
Exc back tum deep 5 cm/>
|
$1,309.36 |
$1,309.36 |
$1,309.36 |
$3,370.52
|
|
Exc bartholins gland/cyst
|
$532.80 |
$532.80 |
$532.80 |
$3,744.41
|
|
Exc benign feenlm 3.1-4.0cm 11444
|
$419.58 |
$419.58 |
$419.58 |
$2,184.60
|
|
Exc benign feenlm >4.0cm 11446
|
$613.39 |
$613.39 |
$613.39 |
$3,386.84
|
|
Exc benign snhfg 3.1-4.0cm 11424
|
$342.99 |
$342.99 |
$342.99 |
$2,244.06
|
|
Exc benign tal 0.5 < cm 11400
|
$282.39 |
$282.39 |
$282.39 |
$837.48
|
|
Exc ben+marg excep skin tag feenlm <0.5cm 11440
|
$282.39 |
$282.39 |
$282.39 |
$914.34
|
|
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442
|
$521.48 |
$521.48 |
$521.48 |
$1,045.20
|
|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$521.48 |
$521.48 |
$521.48 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg 0.6-1cm 11421
|
$521.48 |
$521.48 |
$521.48 |
$1,372.15
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$1,006.33 |
$1,006.33 |
$1,006.33 |
$2,112.60
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$494.18 |
$494.18 |
$494.18 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$281.06 |
$281.06 |
$281.06 |
$818.53
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$521.48 |
$521.48 |
$521.48 |
$1,301.30
|
|
Exc/crtg b1 cst/b9 tum rds
|
$1,260.08 |
$1,260.08 |
$1,260.08 |
$3,591.33
|
|
Exc/curtg b1 cst/b9 tum hum
|
$843.83 |
$843.83 |
$843.83 |
$3,839.54
|
|
Exc ext ear/partial/simple repair 69110
|
$2,451.55 |
$2,451.55 |
$2,451.55 |
$3,386.84
|
|
Exc feenl mal+mrg 0.6-1 11641
|
$521.48 |
$521.48 |
$521.48 |
$1,061.40
|
|
Exc feenl mal+mrg 2.1-3 11643
|
$657.35 |
$657.35 |
$657.35 |
$2,101.45
|
|
Exc foot/toe tum dep 1.5cm/>
|
$811.86 |
$811.86 |
$811.86 |
$3,786.00
|
|
Exc foot/toe tum subq < 1.5 cm 28043
|
$484.85 |
$484.85 |
$484.85 |
$3,424.00
|
|
Exc forearm tum deep < 3 cm
|
$1,057.61 |
$1,057.61 |
$1,057.61 |
$2,547.20
|
|
Exc forearm tum deep 3 cm/>
|
$924.41 |
$924.41 |
$924.41 |
$3,386.84
|
|
Exc hand les sc < 1.5 cm
|
$607.40 |
$607.40 |
$607.40 |
$1,897.50
|
|
Exc hand tum deep 1.5 cm/>
|
$997.67 |
$997.67 |
$997.67 |
$2,271.01
|
|
Exc hand tum deep < 1.5 cm 26116
|
$947.06 |
$947.06 |
$947.06 |
$2,271.01
|
|
Exc hidradenitis peri/umb comp 11471
|
$1,189.48 |
$1,189.48 |
$1,189.48 |
$3,386.84
|
|
Exc im tumor/back/flank/ < 5 cm 21932
|
$1,086.92 |
$1,086.92 |
$1,086.92 |
$3,386.84
|
|
Excise anal ext tag/papilla
|
$215.79 |
$215.79 |
$215.79 |
$1,395.28
|
|
Excise subq tumor/abd wall <3 cm 22902
|
$684.65 |
$684.65 |
$684.65 |
$1,974.40
|
|
Excise wrist tendon sheath
|
$691.98 |
$691.98 |
$691.98 |
$1,893.86
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$282.39 |
$282.39 |
$282.39 |
$832.60
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$521.48 |
$521.48 |
$521.48 |
$1,981.25
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$281.06 |
$281.06 |
$281.06 |
$1,064.30
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$453.55 |
$453.55 |
$453.55 |
$2,916.96
|
|
Excision breast lesion
|
$798.54 |
$798.54 |
$798.54 |
$3,694.96
|
|
Excision of anal lesion(s)
|
$495.51 |
$495.51 |
$495.51 |
$3,245.23
|
|
Excision of rectal lesion
|
$1,112.22 |
$1,112.22 |
$1,112.22 |
$3,229.60
|
|
Excision olecranon bursa
|
$611.39 |
$611.39 |
$611.39 |
$3,591.33
|
|
Excision tumor soft tissue back/flank subcutaneous >= 3 cm
|
$833.84 |
$833.84 |
$833.84 |
$3,255.75
|
|
Excis partial tal calc
|
$879.79 |
$879.79 |
$879.79 |
$3,594.44
|
|
Exc malig feenl <0.5cm 11640
|
$521.48 |
$521.48 |
$521.48 |
$1,206.78
|
|
Exc malig feenl 1.1-2 11642
|
$543.46 |
$543.46 |
$543.46 |
$1,113.60
|
|
Exc malig feenl 3.1-4.0 11644
|
$513.49 |
$513.49 |
$513.49 |
$2,070.30
|
|
Exc malig feenl >4cm 11646
|
$707.96 |
$707.96 |
$707.96 |
$3,386.84
|
|
Exc malig snhfg 0.5cm or less 11620
|
$521.48 |
$521.48 |
$521.48 |
$1,273.80
|
|
Exc malig snhfg 0.6-1.0 cm 11621
|
$358.98 |
$358.98 |
$358.98 |
$973.71
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$1,004.33 |
$1,004.33 |
$1,004.33 |
$1,917.33
|
|
Exc malig tal <0.5cm 11600
|
$282.39 |
$282.39 |
$282.39 |
$894.66
|
|
Exc malig tal 0.6-1.0cm 11601
|
$298.37 |
$298.37 |
$298.37 |
$828.59
|
|
Exc mal+marg tal 1.1-2 cm 11602
|
$347.66 |
$347.66 |
$347.66 |
$932.35
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$521.48 |
$521.48 |
$521.48 |
$1,246.00
|
|
Exc mal+marg tal 3.1-4 cm 11604
|
$408.26 |
$408.26 |
$408.26 |
$1,322.10
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$325.01 |
$325.01 |
$325.01 |
$3,588.30
|
|
Exc prtl bn phlnx toe
|
$610.73 |
$610.73 |
$610.73 |
$3,752.25
|
|
Exc rect tum transanal full
|
$1,414.59 |
$1,414.59 |
$1,414.59 |
$3,229.60
|
|
Exc sacral pr ulc skn flap
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$4,054.55
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$437.57 |
$437.57 |
$437.57 |
$3,170.64
|
|
Exc skn hdrdnt ing complex
|
$900.44 |
$900.44 |
$900.44 |
$3,386.84
|
|
Exc snhfg mal+mrg 1.1-2 11622
|
$496.84 |
$496.84 |
$496.84 |
$1,329.08
|
|
Exc snhfg mal+mrg 3.1-4 11624
|
$432.90 |
$432.90 |
$432.90 |
$2,171.00
|
|
Exc snhfg mal+mrg >4 cm 11626
|
$1,932.74 |
$1,932.74 |
$1,932.74 |
$3,370.52
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$912.42 |
$912.42 |
$912.42 |
$4,295.90
|
|
Exc sq tumor/foot or toe < 1.5 cm 28039
|
$618.05 |
$618.05 |
$618.05 |
$3,480.43
|
|
Exc sq tumor/forearm/wrist/<3cm 25075
|
$570.77 |
$570.77 |
$570.77 |
$2,473.60
|
|
Exc sq tumor/leg/ankle 3cm/> 27632
|
$741.26 |
$741.26 |
$741.26 |
$3,386.84
|
|
Exc sq tumor/shoulder area 3cm/> 23071
|
$756.58 |
$756.58 |
$756.58 |
$2,271.01
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$859.14 |
$859.14 |
$859.14 |
$3,370.52
|
|
Exc sq tum/vasc malform/hand/fngr 26111
|
$755.25 |
$755.25 |
$755.25 |
$1,908.09
|
|
Exc subq tum/sft tis/pel/hip 3cm/> 27043
|
$955.71 |
$955.71 |
$955.71 |
$3,386.84
|
|
Exc tendon sheath or cap lesion 26160
|
$580.76 |
$580.76 |
$580.76 |
$2,650.53
|
|
Exc thigh/knee les sc<3cm 27327
|
$570.10 |
$570.10 |
$570.10 |
$2,369.60
|
|
Exc thigh/knee tum deep <5cm
|
$1,122.88 |
$1,122.88 |
$1,122.88 |
$3,170.64
|
|
Exc thigh/knee tum dep 5cm/>
|
$1,236.77 |
$1,236.77 |
$1,236.77 |
$3,700.80
|
|
Exc tr-ext mal+marg tal >4 cm 11606
|
$602.07 |
$602.07 |
$602.07 |
$1,917.33
|
|
Exc vagina lesion 57135
|
$329.01 |
$329.01 |
$329.01 |
$4,107.36
|